Hypertension (HTN) management continues to be a concern due to challenges with behavioral risk factors. Patient education to modify unhealthy behaviors appears to be effective in managing HTN. Therefore, this meta-analysis aimed to determine whether individualized face-to-face education and counseling have a beneficial effect on systolic and diastolic blood pressure (SBP and DBP) in hypertensive patients. Studies were extracted from PubMed, Scopus, Cochrane Library, and Web of Science databases. Nine studies, comprising 2627 participants, were included. Random effects models were used to pool estimates of mean differences (MDs) with 95% confidence intervals (CIs) in SBP and DBP between the intervention and usual care groups. SBP and DBP were significantly reduced at the 6-month (MD = −4.38 mmHg, 95% CI: −6.95 to −1.81; MD = −2.09 mmHg, 95% CI: −3.69 to −0.50, respectively) and 12-month time points (MD = −2.48 mmHg, 95% CI: −3.96 to −1.01; MD = −1.71 mmHg, 95% CI: −2.88 to −0.55, respectively) with intervention. At the 24-month time point, there was a significant change in SBP (MD = −2.13 mmHg, 95% CI: −3.94 to −0.32) with intervention compared with the usual care group. This study showed that individualized face-to-face education and counseling add significant benefits to usual care for lowering blood pressure in hypertensive patients. Graphical

中文翻译：

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通过个人面对面教育和咨询来改变生活方式是否比常规护理更有效控制高血压？随机对照试验的系统回顾和荟萃分析

由于行为风险因素的挑战，高血压（HTN）管理仍然受到关注。对患者进行教育以改变不健康行为似乎可以有效控制高血压。因此，本荟萃分析旨在确定个体化面对面教育和咨询是否对高血压患者的收缩压和舒张压（SBP和DBP）产生有益影响。研究摘自 PubMed、Scopus、Cochrane 图书馆和 Web of Science 数据库。纳入了 9 项研究，共 2627 名参与者。使用随机效应模型来汇总干预组和常规护理组之间 SBP 和 DBP 的平均差异 (MD) 与 95% 置信区间 (CI) 的估计值。6 个月时收缩压和舒张压显着降低（分别为 MD = -4.38 mmHg，95% CI：-6.95 至 -1.81；MD = -2.09 mmHg，95% CI：-3.69 至 -0.50）和 12 个月干预的时间点（MD = -2.48 mmHg，95% CI：-3.96 至 -1.01；MD = -1.71 mmHg，95% CI：-2.88 至 -0.55）进行干预。在 24 个月的时间点，与常规护理组相比，干预组的 SBP 有显着变化（MD = -2.13 mmHg，95% CI：-3.94 至 -0.32）。这项研究表明，个性化的面对面教育和咨询为高血压患者降低血压的常规护理带来了显着的好处。图形化